July 13, 2012 - Twenty percent of U.S. women ages 19 to 64 were uninsured in 2010, up from 15 percent in 2000. This issue brief examines the implications of poor coverage for women in the United States by comparing their experiences to those of women in 10 other industrialized nations, all of which have universal health insurance systems.
May 29, 2012 - This brief uses data from a previously published evaluation of wellness programs run by one of Germany's largest sickness funds to draw lessons about the potential benefits and pitfalls of these programs as they gain momentum in the United States under the Affordable Care Act.
May 3, 2012 - This Commonwealth Fund analysis of 13 industrialized countries finds the U.S. spends far more on health care than any other country. However this high spending cannot be attributed to higher income, an older population, or greater supply or utilization of hospitals and doctors. Instead, the findings suggest the higher spending is more likely due to higher prices and perhaps more readily accessible technology and greater obesity.
April 5, 2012 - Alternative payment models have gained momentum in the U.S. and abroad to align health care providers' incentives with value rather than volume.
April 5, 2012 - As the comparative effectiveness research (CER) becomes more widely available in the U.S., decision-makers can learn from international experiences using CER to drive health care toward improved quality and value.
April 4, 2012 - Bundled payments—also known as episode-based payment or case rates—have been proposed as a way to encourage coordination across providers and to promote more efficient care. Other countries have also experimented with bundled payments, most notably the Netherlands and Germany. Their experiences can inform U.S. efforts to reform health system payment and drive improvement.
April 2, 2012 - In recent years, several countries, including the Netherlands, Denmark, and Germany, have sought to expand access to after-hours care—often by transitioning from the traditional approach, in which practices designate someone to be "on-call," to group-based or regional approaches. As the U.S. seeks to strengthen primary care, particularly through the development of patient-centered medical homes, it has a great deal to learn from these international models.
March 29, 2012 - An international survey of adults with complex health care needs found wide variations in the degree to which patients are engaged in their own care, from self-managing a health condition to actively participating in treatment decisions.
In the Literature
March 20, 2012 - Researchers compared the leadership and governance arrangements in seven nations with advanced health systems: Australia, England, Germany, the Netherlands, Norway, Sweden, and Switzerland.
January 19, 2012 - This brief analyzes British, Australian,and German policies on coverage of "end-of-life" drugs.
December 27, 2011 - This updated Commonwealth Fund chartbook uses data collected by the Organization for Economic Cooperation and Development to compare the health care systems and performance across several industrialized countries.
November 9, 2011 - Adults with complex medical conditions, including those with serious or chronic illness, injury, or disability, benefit from receiving their care from a medical home, The Commonwealth Fund's latest international health policy survey finds.
In the Literature
November 9, 2011 - This publication presents overviews of the health care systems of 14 countries—Australia, Canada, Denmark, England, France, Germany, Italy, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States.
November 3, 2011 - Enhancing the coordination and quality of care for chronically ill patients is a challenge across health care systems. This issue brief looks at a the results of a nationally implemented German disease-management program.
September 8, 2011 - A new Commonwealth Fund-supported study comparing fees for physician services in the United States with those in five other nations finds that U.S. physicians are paid more per service than doctors in other countries—as much as double in some cases.
In the Literature